From the Cumming School of Medicine, University of Calgary, Calgary, AB, Canada (P.K.P.); Department of Laboratory Medicine and Pathology, Faculty of Medicine and Dentistry, University of Alberta, Edmonton, AB, Canada (P.K.P., J.P.A.); Department of Aviation, John D. Odegard School of Aerospace Science, University of North Dakota, Grand Forks, North Dakota (W.R.H.); Department of Graduate Medical Education, Brooke Army Medical Center, Ft. Sam Houston, Texas (J.A., W.R.H.); and Innovation and Portfolio Management, Canadian Blood Services, Edmonton, AB, Canada (J.P.A.).
J Occup Environ Med. 2023 Jun 1;65(6):e413-e417. doi: 10.1097/JOM.0000000000002838. Epub 2023 Mar 14.
Canadian pilots may avoid health care and report inaccurate medical information due to fear of medical invalidation. We sought to determine if health care avoidance due to fear of certificate loss exists.
We conducted an anonymous 24-item Internet survey of 1405 Canadian pilots between March and May 2021. Responses were collected using REDCap, and the survey was advertised through aviation magazines and social media groups.
Seventy-two percent of respondents (n = 1007) have felt worried about seeking medical care because it may impact their career or hobby. Respondents participated in various health care avoidance behaviors with the most common being having actually avoided or delayed medical care for a symptom (46%, n = 647).
Canadian pilots fear medical invalidation and consequently, avoid health care. This may be severely impacting aeromedical screening effectiveness.
由于担心医疗执照失效，加拿大飞行员可能会回避医疗保健并报告不准确的医疗信息。我们试图确定是否存在因担心丧失证书而回避医疗保健的情况。
我们于 2021 年 3 月至 5 月期间对 1405 名加拿大飞行员进行了一项匿名的 24 项在线调查。使用 REDCap 收集回复，通过航空杂志和社交媒体群组发布调查广告。
72%的受访者（n=1007）表示曾因担心医疗保健会影响其职业或爱好而感到担忧。受访者采取了各种回避医疗保健的行为，其中最常见的是因症状实际回避或延迟医疗保健（46%，n=647）。
加拿大飞行员担心医疗执照失效，因此回避医疗保健。这可能会严重影响航空医疗筛查的效果。
